Individual
JAE SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3022 WILLIAMS DR STE 200, FAIRFAX, VA 22031-4600
(703) 698-8800
Mailing address
3015 WILLIAMS DR STE 200, FAIRFAX, VA 22031-4623
(571) 388-2886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101279071
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
07/12/2023
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